Organization Active NPI

Scott Lawrence MD PLLC

  • Psychiatry Physician
  • New City, NY
National Provider Identifier
1073885471
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
153194-1 Issued in NY
Legal business name
SCOTT LAWRENCE MD PLLC
Practice address
216 Congers Rd
Suite 2E
New City, NY 10956-6261
Phone
(845) 639-9611
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Lawrence, M.D.NPI 1710961826
Title
Physician
Phone
(845) 639-9611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 153194-1 NY Primary

Addresses

Primary practice location

216 Congers Rd
Suite 2E
New City, NY 10956-6261

Mailing address

216 Congers Rd
Suite 2E
New City, NY 10956-6261
Phone (845) 639-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000199 NY Part B Supplier - Clinic/Group Practice 8224296405 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

216 Congers Rd
Ste 2E
New City, NY 10956
Phone (845) 639-9611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1073885471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CONGERS RD",
            "address_2": "SUITE 2E",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566261",
            "telephone_number": "845-639-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CONGERS RD",
            "address_2": "SUITE 2E",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566261",
            "telephone_number": "845-639-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT LAWRENCE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-639-9611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "153194-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.